Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Sunday, April 16, 2023

AI Can Spot Early Signs of Alzheimer’s in Speech Patterns

With your already higher risk of dementia post stroke, is your doctor testing for this? And what EXACTLY is your doctor's protocol for preventing dementia? Doesn't have one! You don't have a functioning stroke doctor! Why are you seeing them if they are that incompetent?

Your risk of dementia, has your doctor told you of this?

1. A documented 33% dementia chance post-stroke from an Australian study?   May 2012.

2. Then this study came out and seems to have a range from 17-66%. December 2013.`    

3. A 20% chance in this research.   July 2013.

4. Dementia Risk Doubled in Patients Following Stroke September 2018 

The latest here:

AI Can Spot Early Signs of Alzheimer’s in Speech Patterns

Summary: Artificial intelligence can detect signs of mild cognitive decline and Alzheimer’s disease, even when no symptoms are apparent, by analyzing a person’s speech. The technology could be used as a simple screening method to identify early signs of cognitive impairment.

Source: UT Southwestern

New technologies that can capture subtle changes in a patient’s voice may help physicians diagnose cognitive impairment and Alzheimer’s disease before symptoms begin to show, according to a UT Southwestern Medical Center researcher who led a study published in the Alzheimer’s Association publication Diagnosis, Assessment & Disease Monitoring.

“Our focus was on identifying subtle language and audio changes that are present in the very early stages of Alzheimer’s disease but not easily recognizable by family members or an individual’s primary care physician,” said Ihab Hajjar, M.D., Professor of Neurology at UT Southwestern’s Peter O’Donnell Jr. Brain Institute.

Researchers used advanced machine learning and natural language processing (NLP) tools to assess speech patterns in 206 people – 114 who met the criteria for mild cognitive decline and 92 who were unimpaired. The team then mapped those findings to commonly used biomarkers to determine their efficacy in measuring impairment.

Study participants, who were enrolled in a research program at Emory University in Atlanta, were given several standard cognitive assessments before being asked to record a spontaneous 1- to 2-minute description of artwork.

“The recorded descriptions of the picture provided us with an approximation of conversational abilities that we could study via artificial intelligence to determine speech motor control, idea density, grammatical complexity, and other speech features,” Dr. Hajjar said.

The research team compared the participants’ speech analytics to their cerebral spinal fluid samples and MRI scans to determine how accurately the digital voice biomarkers detected both mild cognitive impairment and Alzheimer’s disease status and progression.

“Prior to the development of machine learning and NLP, the detailed study of speech patterns in patients was extremely labor intensive and often not successful because the changes in the early stages are frequently undetectable to the human ear,” Dr. Hajjar said.

This shows the outline of two heads
Researchers used advanced machine learning and natural language processing (NLP) tools to assess speech patterns in 206 people – 114 who met the criteria for mild cognitive decline and 92 who were unimpaired. Image is in the public domain

“This novel method of testing performed well in detecting those with mild cognitive impairment and more specifically in identifying patients with evidence of Alzheimer’s disease – even when it cannot be easily detected using standard cognitive assessments.” 

During the study, researchers spent fewer than 10 minutes capturing a patient’s voice recording. Traditional neuropsychological tests typically take several hours to administer. 

“If confirmed with larger studies, the use of artificial intelligence and machine learning to study vocal recordings could provide primary care providers with an easy-to-perform screening tool for at-risk individuals,” Dr. Hajjar said. “Earlier diagnoses would give patients and families more time to plan for the future and give clinicians greater flexibility in recommending promising lifestyle interventions.”

Dr. Hajjar collaborated on this study with a team of researchers at Emory, where he previously served as Director of the Clinical Trial Unit of the Goizueta Alzheimer’s Disease Research Center before joining UTSW in 2022. He is continuing to collect voice recordings in Dallas as part of a follow-up study at UTSW being funded with a National Institutes of Health grant.

Funding: This study’s research was supported by grants from the National Institutes of Health/National Institute on Aging (AG051633, AG057470-01, AG042127) and the Alzheimer’s Drug Discovery Foundation (20150603).

Dr. Hajjar holds the Pogue Family Distinguished University Chair in Alzheimer’s Disease Clinical Research and Care, in Memory of Maurine and David Weigers McMullan.

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